The potential of the island of La Palma (Canary Islands) to host geothermal resources is very high, mainly due to its high volcanic activity. The primary goal of this study is to get a tridimensional image of the seismic intrinsic attenuation using ambient seismic noise and to identify anomalies that may be linked to active geothermal reservoirs on La Palma island. For this purpose, we developed a new Ambient Noise Attenuation Tomography (ANAT) technique, which uses seismic ambient noise for imaging intrinsic attenuation in 3-D at a local scale down to 5 km depth. Our research identifies two areas with high attenuation in the island’s southern region. One area could be associated with hydrothermal alteration zones beneath the Cumbre Vieja volcanic complex. Another high-attenuation zone was observed in the island’s southern part, which could be associated with extensively fractured rocks that might facilitate the circulation of heated fluids. Furthermore, we discuss the geothermal relevance of such anomalies, making a comparison with previous resistivity, S-wave velocity and density models. This study confirms that intrinsic attenuation retrieved from the coda of Rayleigh waves is more sensitive to the presence of fluids than velocity. Fluids being a key component of active geothermal reservoirs, it is reasonable to expect intrinsic attenuation anomalies in these systems. Therefore, we conclude that ANAT can be useful for geothermal exploration.